Individual provider Active NPI

Erica Thurman, NURSE PRACTITIONER

  • Rural Health Clinic/Center
  • Flowood, MS
National Provider Identifier
1699423939
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Practice address
215 Katherine Dr
Flowood, MS 39232-9588
Phone
(601) 665-4162
Fax
(855) 830-3484
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Family Nurse Practitioner 363LF0000X 905257 MS
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

215 Katherine Dr
Flowood, MS 39232-9588

Mailing address

1621 W Peace St
Canton, MS 39046-9041
Phone (601) 665-2396

Other practice location 1

1621 W Peace St
Canton, MS 39046-9041
Phone (601) 391-2716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425001604 MS Practitioner - Nurse Practitioner 4688061534 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, shared by 2 NPIs, 77 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905257MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MDB Behavioral Health Services LLC Rural Health CurrentSince Feb 18, 2024 Accepting new patients
Minor Med Care, LLC Rural Health CurrentSince Sep 13, 2025 Accepting new patients
Purpose & Power Healthcare Services, LLC CurrentSince Aug 19, 2024 Accepting new patients
Signify Health, LLC CurrentSince Dec 22, 2022 Accepting new patients
Minor Med Care, LLC Primary Care Current Accepting new patients
MDB Care Management LLC CurrentSince Mar 10, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Rural Health CurrentSince Apr 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC Rural Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

1621 W Peace St
Canton, MS 39046
Phone (601) 391-2716

509 Liberty Rd
Ste C
Flowood, MS 39232
Phone (601) 521-5121

215 Katherine Dr
Flowood, MS 39232

616 Highway 82 W
Indianola, MS 38751
Phone (662) 635-8680

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

215 Katherine Dr
#A
Jackson, MS 39232

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1699423939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469041",
            "telephone_number": "601-665-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KATHERINE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329588",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 W Peace St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390469041",
            "country_code": "US",
            "telephone_number": "601-391-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ERICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905257",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.